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ST7B CON�I2ACTO1�AGREEIVIENT' � O,
SST, [�ucle County, permitting
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the s eY� I Sub contracfor -.:� ff r ,� y
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" t For the<pro�ecf_located ate ,, SCcc< c,► u 0�� i'�;P-�'►
(Project,Street Addiess or_`Propert'Tax ID
Itis uriderstoocl that;if there,'Is any change of status regarding ourpanc�lpation with the above mentioned +
pro1ect�-the Bulding,and Code Reg2ilatloii D%visi'on of'St Lueze Canty will be advised pursuant ta,the
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filltlg of a Change of Subcontractor nvtao _
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C t u t nxYr Srt:K iQu ilifierT _ _
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COII.VTY'CERTIRICATIONNUMBER'
otatA of%Ltontl t,Caunh u£-- S .C( State-of Florida,Countyof f'Y�
Thr GFr.;ctiomh ins( umcIIF,iias u�rt i!btftite.inetitic da%ut :The faregomg instrument was signed;before me flus day of
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}7 hip Iz�crsonaft�fatots n,. or 6as:groduced vvho�s petsanallY 1moWn t%�oras produced a
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:Print Name.of N6tar7 Public
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uSAAPAPAREI.LA YprG ��i:lZ ,
{I PubicSnxYucd;FFffb 3t31u- '_' Commustca+i211'Mi9: " -+ o� oIXPIRES 23 2024
;µP Comm Fiipires dq 2,;2023` 'iF
banded thrcpgn M"atiC�al bury °? ? 9orided Thrii Notary Pubic lJlidetwriteta::
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